{"id":352498,"date":"2025-08-02T11:51:58","date_gmt":"2025-08-02T10:51:58","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=352498"},"modified":"2025-08-02T11:51:58","modified_gmt":"2025-08-02T10:51:58","slug":"vseobecna-zdravotni-pojistovna-kuraci-se-boji-na-screening-rakoviny-plic-prislo-temer-19-tisic-klientu-vzp-cr","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=352498","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Ku\u0159\u00e1ci se boj\u00ed. Na screening rakoviny plic p\u0159i\u0161lo t\u00e9m\u011b\u0159 19 tis\u00edc klient\u016f VZP \u010cR"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 class=\"-wm-MsoNormal\"><b>Na n\u00e1sledky kou\u0159en\u00ed ka\u017edoro\u010dn\u011b um\u00edraj\u00ed tis\u00edce lid\u00ed. V\u010dasn\u00e1 diagn\u00f3za m\u016f\u017ee \u017eivot zachr\u00e1nit. Pr\u00e1v\u011b to je c\u00edlem programu \u010dasn\u00e9ho z\u00e1chytu rakoviny plic, kter\u00fd od jeho spu\u0161t\u011bn\u00ed v\u00a0roce 2022 do 1. \u010dtvrtlet\u00ed leto\u0161n\u00edho roku absolvovalo 18\u00a0979 klient\u016f V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. Rizikov\u00fd n\u00e1lez s podez\u0159en\u00edm na zhoubn\u00fd n\u00e1dor byl odhalen u 381 osob. Z\u00e1jem o screening p\u0159itom rok od roku roste, zat\u00edmco v prvn\u00edm roce programu p\u0159i\u0161lo t\u00e9m\u011b\u0159 4000 klient\u016f, vloni to bylo skoro 2,5kr\u00e1t tolik.<\/b><\/h6>\n<p class=\"-wm-MsoNormal\"><a name=\"-wm-_Hlk204150564\"><\/a>Program \u010dasn\u00e9ho z\u00e1chytu karcinomu plic\u00a0c\u00edl\u00ed na skupinu vysoce rizikov\u00fdch pacient\u016f, tedy b\u00fdval\u00e9 \u010di sou\u010dasn\u00e9 siln\u00e9 ku\u0159\u00e1ky ve v\u011bku 55\u201374 let, kte\u0159\u00ed kou\u0159ili alespo\u0148 20 cigaret denn\u011b po dobu minim\u00e1ln\u011b 20 let. Tito lid\u00e9 nejsou dosud l\u00e9\u010deni ani sledov\u00e1ni pro plicn\u00ed onemocn\u011bn\u00ed.<\/p>\n<p class=\"-wm-MsoNormal\">V obdob\u00ed od zah\u00e1jen\u00ed projektu v roce 2022 do konce prvn\u00edho kvart\u00e1lu leto\u0161n\u00edho roku bylo praktick\u00fdmi l\u00e9ka\u0159i nebo pneumology osloveno 29\u00a0762 klient\u016f VZP \u010cR, z\u00a0nich pak se zapojen\u00edm do screeningu souhlasilo\u00a018\u00a0979. Rizikov\u00fd n\u00e1lez byl potvrzen u 381 z nich, nej\u010dast\u011bji ve v\u011bkov\u00fdch skupin\u00e1ch 70\u201374 let (127 p\u0159\u00edpad\u016f) a 65\u201369 let (111 p\u0159\u00edpad\u016f). V\u00fdrazn\u011b v\u00edce n\u00e1lez\u016f bylo u mu\u017e\u016f ne\u017e u \u017een. Rizikov\u00fd n\u00e1lez automaticky neznamen\u00e1 potvrzen\u00ed onkologick\u00e9ho onemocn\u011bn\u00ed, to vyvr\u00e1t\u00ed \u010di potvrd\u00ed a\u017e dal\u0161\u00ed vy\u0161et\u0159en\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-352499 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/30\/tabulka-vzp.jpg\" alt=\"\" width=\"812\" height=\"313\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/30\/tabulka-vzp.jpg 812w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/30\/tabulka-vzp-300x116.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/30\/tabulka-vzp-768x296.jpg 768w\" sizes=\"(max-width: 812px) 100vw, 812px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNormal\">Nejvy\u0161\u0161\u00ed \u00fa\u010dast na programu \u010dasn\u00e9ho z\u00e1chytu karcinomu plic byla zaznamen\u00e1na v Praze (5751 klient\u016f), \u00dasteck\u00e9m kraji (3892), St\u0159edo\u010desk\u00e9m kraji (3811) a Jihomoravsk\u00e9m kraji (2849). Naopak nejni\u017e\u0161\u00ed z\u00e1jem m\u011bli poji\u0161t\u011bnci v Olomouck\u00e9m (739), Plze\u0148sk\u00e9m (927) a Karlovarsk\u00e9m kraji (928).<\/p>\n<p class=\"-wm-MsoNormal\">Do programu m\u016f\u017ee pacienta zapojit jeho registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159. Ten posoud\u00ed anamn\u00e9zu a pacienta po\u0161le ke specialistovi \u2013 pneumologovi. Ten provede fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed, testy plicn\u00edch funkc\u00ed a doporu\u010d\u00ed n\u00edzkod\u00e1vkov\u00e9 CT (LDCT) vy\u0161et\u0159en\u00ed na akreditovan\u00e9m radiologick\u00e9m pracovi\u0161ti. V\u0161e prob\u00edh\u00e1 bezplatn\u011b a je hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n<p>Praktick\u00fd l\u00e9ka\u0159 nejprve vyhodnot\u00ed rizikov\u00fd profil pacienta. Pokud spad\u00e1 do c\u00edlov\u00e9 skupiny, je odesl\u00e1n ke specializovan\u00e9mu pneumologovi, kter\u00fd provede z\u00e1kladn\u00ed fyzik\u00e1ln\u00ed a funk\u010dn\u00ed plicn\u00ed vy\u0161et\u0159en\u00ed. Kl\u00ed\u010dov\u00fdm krokem je n\u00e1sledn\u00e9 n\u00edzkod\u00e1vkov\u00e9 CT (LDCT) vy\u0161et\u0159en\u00ed, kter\u00e9 umo\u017e\u0148uje zachytit karcinom plic v ran\u00e9m st\u00e1diu \u2013 \u010dasto je\u0161t\u011b p\u0159edt\u00edm, ne\u017e se projev\u00ed symptomy.<\/p>\n<p><b>Kou\u0159en\u00ed jako nejv\u011bt\u0161\u00ed rizikov\u00fd faktor<\/b><\/p>\n<p class=\"-wm-MsoNormal\"><em>\u201eNejde o stra\u0161en\u00ed, ale o realitu. Kou\u0159en\u00ed zab\u00edj\u00ed a v\u010dasn\u00e1 diagn\u00f3za m\u016f\u017ee b\u00fdt rozd\u00edlem mezi \u017eivotem a smrt\u00ed. Program \u010dasn\u00e9ho z\u00e1chytu rakoviny plic je tu od toho, aby zachr\u00e1nil co nejv\u00edce \u017eivot\u016f, ale nesm\u00ed z\u016fstat nevyu\u017eit\u00fd,\u201c<\/em> uvedl\u00a0Jan Bodn\u00e1r, n\u00e1m\u011bstek \u0159editele VZP \u010cR pro zdravotn\u00ed p\u00e9\u010di.<\/p>\n<p class=\"-wm-MsoNormal\">Rakovina plic z\u016fst\u00e1v\u00e1 jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch a nejz\u00e1va\u017en\u011bj\u0161\u00edch onkologick\u00fdch onemocn\u011bn\u00ed. V \u010cesk\u00e9 republice na ni ro\u010dn\u011b onemocn\u00ed p\u0159ibli\u017en\u011b 6600 osob, p\u0159i\u010dem\u017e v\u00edce ne\u017e 85 % p\u0159\u00edpad\u016f souvis\u00ed p\u0159\u00edmo s kou\u0159en\u00edm. Na sv\u011bt\u011b tato diagn\u00f3za ka\u017edoro\u010dn\u011b usmrt\u00ed zhruba 1,8 milionu lid\u00ed.<\/p>\n<p class=\"-wm-MsoNormal\">Podle\u00a0dat\u00a0<strong><a href=\"https:\/\/health.ec.europa.eu\/tobacco\/overview_en\" target=\"_blank\" rel=\"noopener\">Evropsk\u00e9 komise<\/a><\/strong><span class=\"-wm-MsoHyperlink\">\u00a0<\/span>je kou\u0159en\u00ed hlavn\u00ed p\u0159\u00ed\u010dinou p\u0159ed\u010dasn\u00fdch \u00famrt\u00ed v\u00a0EU (t\u00e9m\u011b\u0159 700 tis\u00edc lid\u00ed). Polovina ku\u0159\u00e1k\u016f um\u00edr\u00e1 v pr\u016fm\u011bru o 14 let d\u0159\u00edve ne\u017e neku\u0159\u00e1ci. Kou\u0159\u00ed p\u0159itom st\u00e1le 26 % obyvatel EU a 29 % mlad\u00fdch lid\u00ed ve v\u011bku 15\u201324 let.<\/p>\n<p class=\"-wm-MsoNormal\">Znepokojiv\u00fd je tak\u00e9 trend nar\u016fstaj\u00edc\u00edho u\u017e\u00edv\u00e1n\u00ed alternativn\u00edch forem tab\u00e1ku, jako jsou elektronick\u00e9 cigarety nebo zah\u0159\u00edvan\u00fd tab\u00e1k. I kdy\u017e jsou \u010dasto vn\u00edm\u00e1ny jako m\u00e9n\u011b \u0161kodliv\u00e9, podle\u00a0<strong><a href=\"https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/tobacco-e-cigarettes\" target=\"_blank\" rel=\"noopener\">Sv\u011btov\u00e9 zdravotnick\u00e9 organizace<\/a><\/strong>\u00a0a aktu\u00e1ln\u00edch\u00a0<strong><a href=\"https:\/\/www.tobaccoinduceddiseases.org\/Evidence-update-on-the-cancer-risk-of-vaping-e-cigarettes-A-systematic-review%2C192934%2C0%2C2.html?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">v\u011bdeck\u00fdch poznatk\u016f<\/a><\/strong>, nad\u00e1le p\u0159etrv\u00e1v\u00e1 riziko onkologick\u00fdch onemocn\u011bn\u00ed, pouze m\u011bn\u00ed svou podobu.<\/p>\n<p class=\"-wm-MsoNormal\"><b>Prevence jako cesta k\u00a0del\u0161\u00edmu \u017eivotu<\/b><\/p>\n<p class=\"-wm-MsoNormal\">Program \u010dasn\u00e9ho z\u00e1chytu karcinomu plic je jedn\u00edm z kl\u00ed\u010dov\u00fdch n\u00e1stroj\u016f prevence, jeho\u017e c\u00edlem je zachytit onemocn\u011bn\u00ed ve f\u00e1zi, kdy je l\u00e9\u010dba je\u0161t\u011b efektivn\u00ed. Zapojen\u00ed do screeningu je snadn\u00e9, bezplatn\u00e9 a hrazen\u00e9 ze syst\u00e9mu ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n<p class=\"-wm-MsoNormal\"><em>\u201ePokud bychom zachytili v\u00edce p\u0159\u00edpad\u016f v ran\u00e9m stadiu, kdy je l\u00e9\u010dba mo\u017en\u00e1, mohlo by to v\u00fdrazn\u011b sn\u00ed\u017eit \u00famrtnost. Screening je siln\u00fdm n\u00e1strojem, ale jen pokud jej lid\u00e9 skute\u010dn\u011b vyu\u017e\u00edvaj\u00ed,\u201c<\/em> dod\u00e1v\u00e1Jan Bodn\u00e1r.<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Na n\u00e1sledky <\/p>\n","protected":false},"author":2,"featured_media":352500,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2025\/07\/30\/ram-vzp-xxx.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352498"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=352498"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352498\/revisions"}],"predecessor-version":[{"id":352501,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/352498\/revisions\/352501"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/352500"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=352498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=352498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=352498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}